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In East Cheshire we are possibly going to lose in-patient paediatrics, as a result of the greater manchester review-in Emergency Dept. we are strongly resisting losing on site paeds as we do not have the skill mix nor capcity at consultant nor middle grade tier,we believe to provide a safe service.We are seeking a review by a prof in Emergency medicine to clarify what resources it will take to remain viable.The view we have is that there should be 24hr A&E middle grade, and consultant skill mix to support the middle grade.A reliance on simply having APLS is not enough. I have spent many hours recently phoning around the country enquiring at models of 24hr rurual or semi-rural verus urban A&E dept that have no on site paediatrics:weston super mare (twinned with bristol childrens), ormskirk (twinned with southport), chorley(&preston), cheltenham (& gloucester).Huddersfield(&halifax). I would be happy to discuss further on the phone Mon-Thurs 01625 421000 bleep 5015 Mark Nicol Emergency Physician macclesfield Hospital Lead clinician for Future Healthcare project >From: [log in to unmask] >Reply-To: Accident and Emergency Academic List <[log in to unmask]> >To: [log in to unmask] >Subject: Consultant Lead Paediatric Service and accepting Trauma >Date: Fri, 10 Mar 2006 19:36:15 +0000 > >Hi, I am currently looking into the requirement for a DGH accepting >paediatric patients. >Is it preffered or a requirement that you must have an on site consultant >lead paediatric service to be able to accept paediatric trauma. We are >currently under great pressure to reconfigure our services across East >Sussex. > >Salim Shubber >Eastbourne > >National Patient Safety Agency - supporting Doctors.net.uk members in >safe practice. http://www.doctors.net.uk/NPSA >________________________________________________________________________ > >> > > > > > >________________________________________________________________________ > >National Patient Safety Agency - supporting Doctors.net.uk members in >safe practice. > >http://www.doctors.net.uk/NPSA > >_______________________________________________________________________ > > > >________________________________________________________________________ > >National Patient Safety Agency - supporting Doctors.net.uk members in >safe practice. > >http://www.doctors.net.uk/NPSA > >_______________________________________________________________________ > > > > > > > > >________________________________________________________________________ >National Patient Safety Agency - supporting Doctors.net.uk members in safe >practice. >http://www.doctors.net.uk/NPSA >_______________________________________________________________________